Individual
STACIA SLOANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1217 CARLETON ST, BERKELEY, CA 94702-2207
(510) 290-4553
Mailing address
1217 CARLETON ST, BERKELEY, CA 94702-2207
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
20A19206
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2018
Last updated
03/21/2022
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